谢金龙,罗招阳,袁恩健,陈永春,左建宏.Bcl-2与Ki-67蛋白在喉鳞癌中的表达检测及临床相关性分析.[J].中南医学科学杂志.,2014,42(6):549-553.
Bcl-2与Ki-67蛋白在喉鳞癌中的表达检测及临床相关性分析
Expression and Analysis of Correlation of Bcl-2 andKi-67 in Laryngeal Squamous Cell Carcinoma
投稿时间:2014-04-01  
DOI:
中文关键词:  喉鳞状细胞癌  Bcl-2  Ki-67  增殖  侵袭转移
英文关键词:Laryngeal squamous cell carcinoma  Bcl-2  Ki-67  proliferation  invasion and metastasis
基金项目:国家自然科学基金(81272960),湖南省科技厅项目(2013WK2010),湖南省卫生厅项目(B2012-047)和湖南省教育厅项目(12C0343).
作者单位
谢金龙1,罗招阳2,袁恩健2,陈永春1,左建宏2 1.解放军第一六九中心医院 肿瘤科湖南 衡阳 4210022.南华大学医学院肿瘤研究所 
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中文摘要:
      目的检测喉鳞状细胞癌中Bcl-2蛋白和Ki-67蛋白的表达水平并分析两者的相关性。方法收集54例喉鳞癌组织和42例正常喉粘膜组织的样本,采用SP免疫组化法观察石蜡切片中Bcl-2、Ki-67蛋白的表达,并结合临床相关病理因素分析在喉鳞状细胞癌中两者的相关性。结果在喉鳞癌组织中,Bcl-2蛋白高表达,阳性表达率70.37%(38/54),正常的喉粘膜组织中Bcl-2蛋白阳性微弱表达或不表达,阳性率9.5%(4/42)(P<0.05);Bcl-2蛋白表达水平与临床分期、淋巴结转移有明显相关性:在晚期(Ⅲ~Ⅳ期)的表达高于早期(Ⅰ~Ⅱ期)(P<0.05),而其在不同年龄、性别中的表达,差异无统计学意义(P>0.05)。Ki-67蛋白在喉鳞状细胞癌中的表达为81.48%(44/54),在正常组织中表达明显下调仅为16.67%(7/42);在喉鳞癌中Bcl-2蛋白与Ki-67蛋白的表达呈正相关(rs=0.317,P<0.05)。结论与正常组织比较,在喉鳞癌中Bcl-2蛋白与Ki-67蛋白表达明显上调,并呈正相关,可能两者在喉鳞癌癌变中发挥了协同作用。
英文摘要:
      ObjectiveThe expression of Bcl-2 and Ki-67 was detected in human laryngeal squamous cell carcinoma (LSCC) and its correlation was analyzed.MethodsThe immunohistochemical method SP was used to analyze the expression and clinical significance of Bcl-2 and Ki-67 in 54 cases of LSCC and 42 cases of the normal laryngeal mucosa as control and the correlation between the two groups.ResultsIn laryngeal squamous carcinoma,the Bcl-2 protein positive overexpression rate was 70.37% (38/54),while it was weak or had no expression in the normal laryngeal mucosa (P<0.05).The Bcl-2 protein expression level was obviously correlated with clinical stages and lymph node metastasis.Moreover,overexpression of Bcl-2 was observed more frequently in LSCC with late TNM stsges (Ⅲ-Ⅳ) (P<0.05).There was no significant difference in the positive expression of Bcl-2 among gender,age and pathological type (P>0.05).Nuclear antigen Ki-67 was expressed in 81.48% (44/54) of patients with LSCC.The expression in normal laryngeal mucosa was significantly lower only for 16.67%(7/42)(P<0.05).The expression of Ki-67 in LSCC was positively related to the expressions of Bcl-2 (rs=0.317,P<0.05).CouclusionsCompared with laryngeal normal tissue,Bcl-2 and Ki-67 protein expression significantly raised in laryngeal squamous cell carcinoma and were positively correlated with each other,which could both play a collaborative role in the carcinogenesis of laryngeal squamous cell carcinoma.
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